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Fire intensity effects on flowering and post-fire bud activity in the endemic savanna bunchgrass Aristida beyrichiana. 火强对热带稀树草原特有丛枝草开花和火后芽活性的影响。
IF 3.6 3区 生物学 Q1 PLANT SCIENCES Pub Date : 2026-03-01 Epub Date: 2025-12-22 DOI: 10.1111/plb.70159
J M Fill, A Zee, D T Love, T Liu, R M Crandall

The bud bank of perennial grasses is a key aspect of their reproduction and longevity in frequently burned ecosystems. We investigated how fire intensity and time since fire affected fire-stimulated flowering and bud activity of wiregrass (Aristida beyrichiana), a foundational bunchgrass in south-eastern US pine savannas. We manipulated fuels and monitored fire temperatures in plants during an experimental fire. We tested effects of plant size and fire intensity on flowering stem production and proportions of active and dead buds. We compared active, dead and total buds from plants in the experimental burn with those in stands burned one and 2 years ago, and described the species' bud morphology and anatomy. The duration above 60 °C had a marginally significant negative effect on the number of flowering stems per plant. This effect was less than the significant positive correlation of flowering stem number with plant size. Fire intensity did not affect the proportions of dead and active buds 5 months after fire. There were significant differences in proportions of active, dead and dormant buds 1 year after fire, and the total number of buds decreased with time since fire. Plants had an average of one bud per tiller, and mean bud depth was 3 cm. Perennial bud banks are a substantial source of regenerative biomass for plants in fire-prone savannas. For fire-stimulated flowering species, frequent fires are likely important for maintaining large bud banks that supply both vegetative and flowering structures. A focus on belowground structures should shed light on long-term ecosystem dynamics in fire-prone ecosystems.

多年生草本植物的芽库是它们在频繁燃烧的生态系统中繁殖和长寿的一个关键方面。本文研究了火灾强度和火灾后时间对美国东南部松林稀树草原基础禾本科植物线草(Aristida beyrichiana)的花蕾活动的影响。在一次实验火灾中,我们对燃料进行了操作,并监测了工厂的火灾温度。研究了植株大小和火灾强度对花茎产量和活性芽与死芽比例的影响。我们比较了1年和2年前的林分和实验烧伤植株的活芽、死芽和总芽,并描述了该物种的芽形态和解剖结构。60°C以上的持续时间对单株开花茎数有极显著的负影响。这种影响小于开花茎数与植株大小的显著正相关。火灾后5个月,火灾强度对死芽和活跃芽的比例没有影响。火后1年的活跃芽、死芽和休眠芽比例差异显著,总芽数随火后时间的延长而减少。植株每分蘖平均有一个芽,平均芽深为3 cm。多年生芽库是易发火灾的热带稀树草原植物再生生物量的重要来源。对于火刺激的开花物种来说,频繁的火可能对维持大量的芽库很重要,这些芽库提供了营养和开花结构。对地下结构的关注应该有助于揭示易发生火灾的生态系统的长期生态系统动态。
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引用次数: 0
Verekitug, a Novel Antibody Antagonist to the TSLP Receptor in Adults with Asthma: A 32-Week Randomized Phase 1b Multiple Ascending-Dose Trial. 一种针对成人哮喘患者TSLP受体的新型抗体拮抗剂Verekitug:一项为期32周的随机1b期多次递增剂量试验
IF 5.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2025-12-24 DOI: 10.1002/cpt.70156
Dave Singh, Chaim M Brickman, Peter Lloyd, Ashish Kalra, Subhabrata Biswas, Arkadeep Sinha, Alex Mulvanny, Sumathi Sivapalasingam, Oren M Becker, Aaron Deykin

Verekitug, a novel, high-affinity, fully human monoclonal antibody targeting thymic stromal lymphopoietin receptor (TSLPR), is in development as a potential treatment for severe asthma, chronic rhinosinusitis with nasal polyps (CRSwNP), and chronic obstructive pulmonary disease (COPD). This phase 1b, double-blind, randomized, placebo-controlled, multiple ascending-dose trial assessed the safety, tolerability, immunogenicity, pharmacokinetics, and pharmacodynamics of verekitug administered subcutaneously in patients with mild-moderate asthma. Thirty-two participants were randomized in 4 placebo-controlled dosing cohorts (3 × 100-mg or 200-mg doses, once every 4 weeks; 2 × 300-mg doses, once every 12 weeks; single 25-mg dose) and observed for 32 weeks. The primary endpoint was safety; secondary endpoints were pharmacokinetics and immunogenicity. Exploratory endpoints included TSLPR occupancy and biomarker effects. Treatment-emergent adverse events were mild or moderate. Complete TSLPR occupancy was observed at the first timepoint (2 weeks post dose) and maintained for 24 weeks (doses ≥100 mg). Rapid mean reductions in fractional exhaled nitric oxide, eosinophils, and interleukin-5 (up to -54%, -65%, and -64%, respectively) were sustained up to 24 weeks (doses ≥100 mg). The mean verekitug half-life was ~20 days. Low-titer antidrug antibody response was observed in some participants, without clinically meaningful impact on pharmacokinetics, pharmacodynamics, or safety. Verekitug was generally well tolerated, with rapid, substantial, and sustained effects on asthma biomarkers. These findings support further development of verekitug for treating severe asthma, CRSwNP, and COPD.

Verekitug是一种新型的、高亲和力的、靶向胸腺基质淋巴生成素受体(TSLPR)的全人单克隆抗体,正在开发中,作为严重哮喘、慢性鼻窦炎伴鼻息肉(CRSwNP)和慢性阻塞性肺疾病(COPD)的潜在治疗药物。这项1b期、随机、安慰剂对照、多重递增剂量试验评估了verekitug皮下给药在轻中度哮喘患者中的安全性、耐受性、免疫原性、药代动力学和药效学。32名受试者随机分为4个安慰剂对照给药队列(3 × 100 mg或200 mg剂量,每4周1次;2 × 300 mg剂量,每12周1次;单次25 mg剂量),观察32周。主要终点是安全性;次要终点是药代动力学和免疫原性。探索性终点包括TSLPR占用率和生物标志物效应。治疗后出现的不良事件为轻度或中度。在第一个时间点(给药后2周)观察到TSLPR完全占据,并维持24周(剂量≥100 mg)。呼出一氧化氮、嗜酸性粒细胞和白细胞介素-5的快速平均减少(分别高达-54%、-65%和-64%)持续长达24周(剂量≥100 mg)。verekitug的平均半衰期为~20天。在一些参与者中观察到低滴度的抗药物抗体反应,对药代动力学、药效学或安全性没有临床意义的影响。Verekitug总体耐受性良好,对哮喘生物标志物具有快速、实质性和持续的作用。这些发现支持了verekitug治疗严重哮喘、CRSwNP和COPD的进一步发展。
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引用次数: 0
Molecular biology needs a map: spatial in situ approaches in plant science. 分子生物学需要一个地图:植物科学的空间原位方法。
IF 3.6 3区 生物学 Q1 PLANT SCIENCES Pub Date : 2026-03-01 Epub Date: 2026-01-19 DOI: 10.1111/plb.70178
T Pasternak, O Yaroshko

Plants are multicellular organisms composed of diverse cell types, each with its own distinct mRNA, protein and metabolite profile. In addition, each cell type exhibits developmental gradients that require fine-tuned balancing with neighbouring cells in terms of cell geometry and chromatin status. These factors highlight the need for precise knowledge of gene expression and chromatin dynamics during stress responses at the single-cell level in planta, linked to cell position and fate. In this viewpoint, we discuss the importance of spatial cell biology in situ methods in modern plant research and briefly compare it with the methods currently available for studying single-cell resolution.

植物是由多种细胞类型组成的多细胞生物,每种细胞类型都有自己独特的mRNA、蛋白质和代谢物谱。此外,每种细胞类型都表现出发育梯度,需要在细胞几何形状和染色质状态方面与邻近细胞进行微调平衡。这些因素强调了对植物单细胞水平应激反应中基因表达和染色质动力学的精确认识的必要性,这些基因表达和染色质动力学与细胞位置和命运有关。在这一观点下,我们讨论了空间细胞生物学原位方法在现代植物研究中的重要性,并将其与目前可用的单细胞分辨率研究方法进行了简要比较。
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引用次数: 0
Associations and Diagnostic Accuracy of Ultrasound Features in Knee Osteoarthritis: Cross-sectional Results from a Large Community-based Cohort: comment on the article by Yates KA et al. 膝关节骨关节炎超声特征的相关性和诊断准确性:来自大型社区队列的横断面结果:对Yates KA等人的文章的评论。
IF 10.9 1区 医学 Q1 RHEUMATOLOGY Pub Date : 2026-02-09 DOI: 10.1002/art.70086
Haojie Guan, Haidong Zhou, Hongyu Xu, Hejing Pan
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引用次数: 0
Mycovirus Vector-Mediated RNAi for Effective Gene Knockdown in Pine Wood Nematodes. 松材线虫分枝病毒载体介导的RNAi基因敲除研究。
IF 10.5 1区 生物学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-02-09 DOI: 10.1111/pbi.70567
Ruiling Bian, Yifan Zhang, Zhihao Zhang, Yuchi Bai, Peiqin Li, Guanghui Tang, Lihua Guo, Huan Liu, Ida Bagus Andika, Qiaoxia Shang, Liying Sun
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引用次数: 0
Correction to "Granular Biomaterials as Bioactive Sponges for the Sequestration and Release of Signaling Molecules". 对“颗粒状生物材料作为信号分子封存和释放的生物活性海绵”的修正。
IF 9.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-02-09 DOI: 10.1002/adhm.70916
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引用次数: 0
Essential Metal Based Single-Atom Nanozymes for Myocardial Infarction Therapeutics. 用于心肌梗死治疗的金属基单原子纳米酶。
IF 9.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-02-09 DOI: 10.1002/adhm.202505365
Ziliang Fu, Xiqing Zhao, Yixin Zhang, Yuanqing Kang, Zhaoyang Wang, Ziyu Zheng, Xingjian He, Yichen Dai, Yuecheng Wang, Xiaobo Cui, Chunfei Hu, Yisheng He, Zhenglong Sun, Khoon Lim, Qiguang Wang, Fangxi Xie, Junnan Tang, Xiaolin Cui

Myocardial infarction triggers irreversible cardiomyocyte loss, sustained oxidative stress, and inadequate angiogenesis, often culminating in heart failure. Effective interventions must address these intertwined pathologies with spatiotemporal precision - a goal conventional antioxidants and regenerative strategies fail to achieve. Here, we develop a multifunctional single-atom nanozyme (SAzymes) platform featuring atomically dispersed Fe, Cu, or Mn centers on nitrogen-doped carbon (M-N-C) frameworks. This atomic-level design maximizes catalytic site utilization and broad-spectrum ROS scavenging, while exploiting the intrinsic bioactivity of trace metals. Systematic catalytic profiling identified Fe- Cu-, and Mn-SAzymes as optimal, each exhibiting complementary superoxide dismutase-, catalase-, and peroxidase-like activities. In hypoxia-challenged cardiomyocytes, these SAzymes not only eliminated ROS catalytically but also activated the NRF2/HO-1 endogenous antioxidant pathway, yielding synergistic redox regulation. In a rat MI model, intramyocardial SAzymes delivery preserved ventricular function, reduced infarct size, promoted angiogenesis, attenuated inflammation and fibrosis, and showed no systemic toxicity. Transcriptome analysis further revealed metal-specific therapeutic signatures - with Fe engaging PI3K-Akt/NF-κB, Cu activating AMPK/PPAR, and Mn modulating MAPK/TNF/NF-κB signaling - linking atomic metal identity to distinct biological repair programs. By uniting catalyst engineering with multi-omic mechanistic insight, this study positions trace-metal SAzymes as a versatile and tunable nanomedicine for ischemic heart disease and beyond.

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引用次数: 0
Early versus late initiation of long-acting insulin in paediatric and adult diabetic ketoacidosis: A systematic review and meta-analysis of randomised control trials. 儿童和成人糖尿病酮症酸中毒的早期与晚期长效胰岛素治疗:随机对照试验的系统回顾和荟萃分析
IF 5.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-02-09 DOI: 10.1111/dom.70542
Bachviet Nguyen, Stephanie Quon, Balkaran Dhaliwal, Mark Warwas, Sara Stafford

Aims: Diabetic ketoacidosis (DKA) is a serious complication of diabetes, requiring intravenous (IV) insulin until resolution and subsequent transition to subcutaneous insulin. Currently, clinical guidelines vary regarding the timing of long-acting subcutaneous insulin initiation, with some advocating early administration during IV insulin infusion, while others recommend delaying until DKA resolution. We aimed to evaluate the efficacy and safety of concurrent versus sequential initiation of long-acting subcutaneous insulin in paediatric and adult patients with DKA already receiving regular insulin.

Materials and methods: A systematic search of five databases (inception to January 2026) identified eligible studies. Early initiation was defined as administration of long-acting insulin before resolution of DKA, while late initiation occurred after resolution of DKA. Primary outcomes included time to DKA resolution, total IV insulin and fluid requirements, and risks of hypoglycaemia, hypokalaemia, and rebound hyperglycaemia. Pooled effect sizes were calculated using random-effects models.

Results: Nine randomised control trials encompassing 652 patients were included. Early long-acting insulin was associated with a shorter time to DKA resolution (SMD: -0.61; 95% CI: -0.83 to -0.38) and was associated with lower total insulin and fluid requirements. Available evidence was insufficient to rule out an increased risk of hypoglycaemia (RR: 0.81; 95% CI: 0.52-1.27) or hypokalaemia (RR: 1.21; 95% CI: 0.90-1.63).

Conclusions: Early initiation of long-acting insulin during IV insulin infusion in DKA likely shortens time to resolution based on moderate certainty evidence and may reduce total insulin and fluid requirements. Evidence for rebound hyperglycaemia and recurrent DKA outcomes remains limited and imprecise.

{"title":"Early versus late initiation of long-acting insulin in paediatric and adult diabetic ketoacidosis: A systematic review and meta-analysis of randomised control trials.","authors":"Bachviet Nguyen, Stephanie Quon, Balkaran Dhaliwal, Mark Warwas, Sara Stafford","doi":"10.1111/dom.70542","DOIUrl":"https://doi.org/10.1111/dom.70542","url":null,"abstract":"<p><strong>Aims: </strong>Diabetic ketoacidosis (DKA) is a serious complication of diabetes, requiring intravenous (IV) insulin until resolution and subsequent transition to subcutaneous insulin. Currently, clinical guidelines vary regarding the timing of long-acting subcutaneous insulin initiation, with some advocating early administration during IV insulin infusion, while others recommend delaying until DKA resolution. We aimed to evaluate the efficacy and safety of concurrent versus sequential initiation of long-acting subcutaneous insulin in paediatric and adult patients with DKA already receiving regular insulin.</p><p><strong>Materials and methods: </strong>A systematic search of five databases (inception to January 2026) identified eligible studies. Early initiation was defined as administration of long-acting insulin before resolution of DKA, while late initiation occurred after resolution of DKA. Primary outcomes included time to DKA resolution, total IV insulin and fluid requirements, and risks of hypoglycaemia, hypokalaemia, and rebound hyperglycaemia. Pooled effect sizes were calculated using random-effects models.</p><p><strong>Results: </strong>Nine randomised control trials encompassing 652 patients were included. Early long-acting insulin was associated with a shorter time to DKA resolution (SMD: -0.61; 95% CI: -0.83 to -0.38) and was associated with lower total insulin and fluid requirements. Available evidence was insufficient to rule out an increased risk of hypoglycaemia (RR: 0.81; 95% CI: 0.52-1.27) or hypokalaemia (RR: 1.21; 95% CI: 0.90-1.63).</p><p><strong>Conclusions: </strong>Early initiation of long-acting insulin during IV insulin infusion in DKA likely shortens time to resolution based on moderate certainty evidence and may reduce total insulin and fluid requirements. Evidence for rebound hyperglycaemia and recurrent DKA outcomes remains limited and imprecise.</p>","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146140378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oxidised lipoproteins and the risk of type 2 diabetes mellitus: A 5-year cohort study on β-cell dysfunction and prediabetes progression. 氧化脂蛋白和2型糖尿病的风险:β细胞功能障碍和糖尿病前期进展的5年队列研究
IF 5.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-02-09 DOI: 10.1111/dom.70540
Jun-Xu Gu, Juan Huang, Ai-Min Zhang, Zi-Wei Wang, Hui-Zhang Bao, Yue Yin, Shan-Shan Li, Na Zhang, Li Qin, Zhi-Hong Yue, Kun Wang, Mei Jia, Chun-Yan Wang, Lin Pei, Ming Su

Aims: Oxidised lipoproteins-including oxidised high-density lipoprotein cholesterol (ox-HDL-C), oxidised low-density lipoprotein cholesterol (ox-LDL-C) and oxidised lipoprotein(a) [ox-Lp(a)]-are emerging biomarkers of oxidative stress and vascular inflammation. However, their roles in glycometabolic disorders and the progression from prediabetes to type 2 diabetes mellitus (T2DM) remain poorly defined. To prospectively assess the associations between plasma ox-HDL-C, ox-LDL-C and ox-Lp(a) levels and the future risk of T2DM among individuals with prediabetes.

Materials and methods: This multi-centre, prospective cohort study enrolled 3056 participants, including 1521 individuals with prediabetes who were followed for 5 years. Baseline levels of ox-HDL-C, ox-LDL-C and ox-Lp(a) were quantified using ELISA. Glycaemic indices, insulin resistance markers and β-cell function were assessed. Associations with incident T2DM were evaluated using logistic regression, Cox proportional hazards models and restricted cubic spline analyses.

Results: Elevated baseline levels of ox-HDL-C, ox-LDL-C and ox-Lp(a) were independently associated with increased odds and hazard ratios for progression from prediabetes to T2DM. These associations were dose-dependent and remained significant across sex-specific subgroups. Additionally, oxidised lipoproteins correlated positively with FBG, HbA1c and HOMA-IR, and negatively with HOMA-β and HOMA-IS, suggesting a relationship with β-cell dysfunction and insulin resistance.

Conclusions: Ox-HDL-C, ox-LDL-C and ox-Lp(a) are independent, dose-dependent predictors of T2DM development in individuals with prediabetes. Their close association with impaired β-cell function highlights their potential utility in early risk stratification and targeted prevention strategies for T2DM.

{"title":"Oxidised lipoproteins and the risk of type 2 diabetes mellitus: A 5-year cohort study on β-cell dysfunction and prediabetes progression.","authors":"Jun-Xu Gu, Juan Huang, Ai-Min Zhang, Zi-Wei Wang, Hui-Zhang Bao, Yue Yin, Shan-Shan Li, Na Zhang, Li Qin, Zhi-Hong Yue, Kun Wang, Mei Jia, Chun-Yan Wang, Lin Pei, Ming Su","doi":"10.1111/dom.70540","DOIUrl":"https://doi.org/10.1111/dom.70540","url":null,"abstract":"<p><strong>Aims: </strong>Oxidised lipoproteins-including oxidised high-density lipoprotein cholesterol (ox-HDL-C), oxidised low-density lipoprotein cholesterol (ox-LDL-C) and oxidised lipoprotein(a) [ox-Lp(a)]-are emerging biomarkers of oxidative stress and vascular inflammation. However, their roles in glycometabolic disorders and the progression from prediabetes to type 2 diabetes mellitus (T2DM) remain poorly defined. To prospectively assess the associations between plasma ox-HDL-C, ox-LDL-C and ox-Lp(a) levels and the future risk of T2DM among individuals with prediabetes.</p><p><strong>Materials and methods: </strong>This multi-centre, prospective cohort study enrolled 3056 participants, including 1521 individuals with prediabetes who were followed for 5 years. Baseline levels of ox-HDL-C, ox-LDL-C and ox-Lp(a) were quantified using ELISA. Glycaemic indices, insulin resistance markers and β-cell function were assessed. Associations with incident T2DM were evaluated using logistic regression, Cox proportional hazards models and restricted cubic spline analyses.</p><p><strong>Results: </strong>Elevated baseline levels of ox-HDL-C, ox-LDL-C and ox-Lp(a) were independently associated with increased odds and hazard ratios for progression from prediabetes to T2DM. These associations were dose-dependent and remained significant across sex-specific subgroups. Additionally, oxidised lipoproteins correlated positively with FBG, HbA1c and HOMA-IR, and negatively with HOMA-β and HOMA-IS, suggesting a relationship with β-cell dysfunction and insulin resistance.</p><p><strong>Conclusions: </strong>Ox-HDL-C, ox-LDL-C and ox-Lp(a) are independent, dose-dependent predictors of T2DM development in individuals with prediabetes. Their close association with impaired β-cell function highlights their potential utility in early risk stratification and targeted prevention strategies for T2DM.</p>","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146140385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of behavioural economics-based financial incentives and social feedback on glycaemic control and physical activity in adults with newly diagnosed type 2 diabetes: A randomised control trial. 基于行为经济学的财务激励和社会反馈对新诊断2型糖尿病成人血糖控制和身体活动的有效性:一项随机对照试验
IF 5.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-02-09 DOI: 10.1111/dom.70541
Cheryl W Y Lai, Harley H Y Kwok, Jiaxi Ye, Carmen S Ng, Pang Fai Chan, David V K Chao, Tsun-Kit Chu, Matthew M H Luk, Ming-Chuen Sin, Jenny H L Wang, Man-Kin Wong, Gabriel M Leung, Helen Zhi, Parco M Siu, Jianchao Quan

Aims: To assess the effectiveness of behavioural economics-based financial incentive and social comparison feedback in adults with newly diagnosed type 2 diabetes.

Materials and methods: We conducted a pragmatic randomised control trial with 6-month intervention and 3-month post-intervention follow-up. Participants were randomised to three groups: financial incentive (FI), financial incentive and social comparison feedback (FS), and control. Intervention groups received loss-framed financial incentives to meet personalised weekly step-count targets, with the FS group additionally receiving peer encouragement. We performed intention-to-treat analysis with multiple imputation and generalised estimating equations (GEE).

Results: Among 99 adults newly diagnosed with type 2 diabetes, mean HbA1c at baseline in the control, FI, and FS groups were as follows: 52.5 (NSGP: 7%) (SD: 5.4), 52.9 (7%) (4.1), and 54.5 (7.1%) (4.9) mmol/mol. There were no significant decreases in HbA1c, weight, cholesterol or triglycerides in the incentive groups versus control at 6 or 9 months. There were significant increases in step count and physical activity at 6 months compared to control (FI: +1283 steps/day, p < 0.001; FS: +1545 steps/day, p < 0.001; FS group +774 MET-minutes/week, p < 0.001).

Conclusions: Financial incentive and social comparison feedback improved physical activity in people newly diagnosed with type 2 diabetes but were insufficient to achieve a significant improvement in glycaemic control.

{"title":"Effectiveness of behavioural economics-based financial incentives and social feedback on glycaemic control and physical activity in adults with newly diagnosed type 2 diabetes: A randomised control trial.","authors":"Cheryl W Y Lai, Harley H Y Kwok, Jiaxi Ye, Carmen S Ng, Pang Fai Chan, David V K Chao, Tsun-Kit Chu, Matthew M H Luk, Ming-Chuen Sin, Jenny H L Wang, Man-Kin Wong, Gabriel M Leung, Helen Zhi, Parco M Siu, Jianchao Quan","doi":"10.1111/dom.70541","DOIUrl":"https://doi.org/10.1111/dom.70541","url":null,"abstract":"<p><strong>Aims: </strong>To assess the effectiveness of behavioural economics-based financial incentive and social comparison feedback in adults with newly diagnosed type 2 diabetes.</p><p><strong>Materials and methods: </strong>We conducted a pragmatic randomised control trial with 6-month intervention and 3-month post-intervention follow-up. Participants were randomised to three groups: financial incentive (FI), financial incentive and social comparison feedback (FS), and control. Intervention groups received loss-framed financial incentives to meet personalised weekly step-count targets, with the FS group additionally receiving peer encouragement. We performed intention-to-treat analysis with multiple imputation and generalised estimating equations (GEE).</p><p><strong>Results: </strong>Among 99 adults newly diagnosed with type 2 diabetes, mean HbA1c at baseline in the control, FI, and FS groups were as follows: 52.5 (NSGP: 7%) (SD: 5.4), 52.9 (7%) (4.1), and 54.5 (7.1%) (4.9) mmol/mol. There were no significant decreases in HbA1c, weight, cholesterol or triglycerides in the incentive groups versus control at 6 or 9 months. There were significant increases in step count and physical activity at 6 months compared to control (FI: +1283 steps/day, p < 0.001; FS: +1545 steps/day, p < 0.001; FS group +774 MET-minutes/week, p < 0.001).</p><p><strong>Conclusions: </strong>Financial incentive and social comparison feedback improved physical activity in people newly diagnosed with type 2 diabetes but were insufficient to achieve a significant improvement in glycaemic control.</p>","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146140429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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